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HomeMy WebLinkAboutLetter-Ahern (fire system) ~~ ~ MAt< i ~ 2001 I I , I 201 M rris Court, P.O. Box 1316 Fo d du Lac, WI 54936-1316 (920) 921- 020 P · (920) 921-8666 f www.ahernfire.com FIRE PROTECTION March 28, 2007 Building Inspector -- Brian Noe City of Oshkosh 215 Church Avenue -- PO Box 1130 Oshkosh, WI 54901 T -920/236-5051 F-920/236-1130 RE: FIRE PROTECTION SYSTEM INSTALLATION BALDOR ELECTRIC 3815 OREGON STREET OSHKOSH, WISCONSIN 54902 AHERN FIRE PROTECTION CONTRACT No. 490501 Dear Brian: Enclosed is a copy of the Contractor's Material and Test Certificates covering the a ove-referenced Fire Protection System Installation for your files. Very truly yours, AHERN FIRE PROTECTION A division of J. F. Ahern Co. JtwJvg}. $~w Mark L. J ozefowski, Superintendent MLJ/ksj LCITY03-28-2007.DOC Building the Midwest Since 1880 An Equal Opportunity Employer .~ ~scons;n Department of Commerce Regulated Object Number: Double Check/DC Detector Perfomance Test MAR 29 2001 afety and Buildings Division .0. Box 7302 adison, WI 53707-7302 ax: (608) 267-9723 : (608) 264-8777 ttp://www.commerce.state.wi.us ttp:/Iwww.wisconsin.gov Personal information you provide may be used for secondary purposes [Privacy Law, 5.1504 (1 )(m)J. OWNER INFORMATION Please print clearly in ballpoint pen. Additional information on back page. Ow Street Addres _ j Owner's Contact Person State . _,~~CoAe " J''T,:/L! cJ., ~'rJs Assembly Type o DC Detector Initial Test ~t check Close!:! tight . 0 Leaked _~a!C J, ~ Final Test o Closed tight Static PSID 2'''d''check Closed tight [;L;~aked.., ~1 Static V, cI'\ PSID PSID o Closed tight 2'nd check Static PSID DETECTOR BYPASS ASSEMBLY INITIAL TEST 1'st check 2'nd check o Closed tight 0 Closed tight o Leaked 0 Leaked Static PSlD _ _ _ _S,l2.tlP PSID DETECTOR BYPASS ASSEMBLY FINAL TEST o Closed tight 0 Closed tight Static PSID Slal(c PSID oW<(.d # lI'1tJ, ASSEMBLIES IN FIRE PROTECTION SYSTEMS Forward Flow Test J LI ./ ~ Designed flow rate 7b U . GPM Note: Include hose stream dem nd where applicable Indicating Control Valves t& No. one control valve open Part(s) Replaced/Comments Actual flow rate GPM . No. two control valve open Valve supervision: o Locked I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CONDUCTED BY ME PE SONALL Y. Tester Name (print) a" RegistartionNo)31993 Time of Day 1/'t)t1 PI1 Tester Signature Phone No77'o14 .. 9J..j-If?,' Date 3 /J,1/<:j'? SBD- I 07 Distributed to the following: Owner and tester rptB ank_ WIDoUbleCh~ AHERN FIRE PROTECTION ~ AR 2 9 2007 Contractor's Material and Test Certificate for Aboveground )iping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's repres ntative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and c )ntractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME Baldor Electric AFP Contract #: 490501 T DATE: December 6, 2006 PROPERTY ADDRESS 3815 Oreaon Street Oshkosh, V'u I 54902 ACCEPTED BY APPROVING AUTHORITIES (NAMES) 1. Factory Mutual Global (Mr. Kim McCluskey P. E.) 2. Oshkosh Fire Department (Battalion Chief -- Stu Schrottky) 3. City of Oshkosh (Building'lnspector -- Brian Noe) 4. ADDRESS Plans 1. W184 N8311 Tours Drive -- Menomonee Falls, WI 53051 2. 101 Court Street -- Oshkosh, WI 54901 3. 215 Church Avenue - PO Box 1130 -- Oshkosh, WI 54901 4. INSTALLATION CONFORMS TO ACCEPTED PLANS ~ES DNO EQUIPMENT USED IS APPROVED ~S DNO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION ~ES DNO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? INSTRUCTIONS IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: Item No.'s 2 & 3 will 1. SYSTEM COMPONENTS INSTRUCTION DYES c;;;}1'iIO be forwarded by AFP 2. CARE AND MAINTENANCE INSTRUCTIONS DYES [31iio at closeout time. 3. NFPA 25 DYES .k3-N'o LOCATION OF SUPPLIES BUILDINGS SYSTEM System #5 Auxiliary Dry - Test Cells MAKE MODEL YEAR OF K- Q ANTITY TEMPERATURE MANUFACTURE FACTOR RATING Vikina Micromatic M VK1 04 Sidewall 1/2" Brass 2006 5.6 286 Deo. Viking Micromatic M VK200 Upright 3/4" Brass 2006 8.0 96 286 Deg. SPRINKLERS PIPE AND TYPE OF PIPE 1000' Schedule 1 Q' Galvanized FITTINGS TYPE OF FITTINGS Grooved' Threaded' Welded Outlets' Mechanical Tees FLOW ALARM DEVICE MAXIML MTIME TO OPERATE THROUG H TEST CONNECTION TYPE MAKE MODEL MIN. SEC. Pressure Switch Potter PS10A ~9 .. .... N/A EXPLAIN ANY ALARM PROBLEMS: . ALARM DEVICES LOW AIR ALARM DEVICE ALARM OPERATED TYPE I MAKE I MODEL PRESSUR PRO PERL Y Pressure Switch Potter PS40A SETTING P 51 YES I NO .x-' I EXPLAIN ANY ALARM PROBLEMS: . i Ahern Fire Protection CENTRAL MONITORING SIGNALS RECE VED ALARM SERVICE LOCAT10N(S) TYPE OR PRESSURE NAME OF REMOTE WATERFLOW SWITCH LOW-AIR OTHER SERVICE DETECTOR FLOW SU PERVISORY SUPERVISING LOCATION(S): STATION (ON-SITE) 4o?j' /-- /- .......... REMOTE REMOTE NAME OF SERVICE: MONITORING ALARM SERVICE SIGNALING (OFF-SITE) PHONE: OTHER: LOCATION(S): EXPLAIN ANY ALARM SIGNALING PROBLEMS: DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODE SERIAL NO. \! I \L ilV'?- ,.,. WOC:I~ I lftJ S- !-I TIME TO TRIP WATER TRIP POINT AIR TIMEW ".TER I ALARM THROUGH TEST PRESSURE AIR PRESSURE PRESSURE REACHE TEST OPERATED CONNECTION'.2 OUTL T,.2 I PROPERLY DRY PIPE MIN. SEC. PSI PSI PSI MIN. SEC. YES NO OPERATING WITHOUT j~ /74 4j 3~ ;(Cj .~, TEST Q.O.D. WITH Q.O.O. IF NO, EXPLAIN: , OPERATION: D PNEUMATIC o ELECTRIC o HYDRAULIC PIPING SUPERVISED DYES DNO DETECTING MEDIA SUPERVIS 0 J:]X-ES DNO DOES VALVE OPERATE FROM THE MANUAL TRIP, REMOTE, OR BOTH CONTROL ~ S-- DYES DNO IS THERE AN ACCESSIBLE FACILITY IN EACH ~ DELUGE & CIRCUIT FOR TESTING PREACTION DYES DNO VALVES -- ~~IT DOES EACH CIRCUIT MAXIMUM TIME TO OPERA T PERVISION OPERATE VALVE RELEASE .OPERA TE RELEASE MAKE MODEL OSS ALARM ~ ../ YES NO YES NO MIN. SEC. ~ , / LOCATION & MAKE & MODEL SETTING STATIC PRESSURE RESIDUAL, RESSURE FLOW RATE PRESSURE FLOOR (FL01 -'lING) REDUCING INLET 011"1"1 . INLET OUTLET FLOW VALVE TEST ~ (PSI) (PSI) (PSI) (GPM) -- ------ ,-------- , MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED, 2 NFPA 13 ONLY REQUIRES THE SO-SECOND LIMITATION IN SPECIFIC SECTIONS, 2 i Ahern Fire Protection ydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 b rs) above static pressure in excess of 150 psi 0.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to pre ent damage. All Iping leakage shall be stopped. PNEuMATIC) Establish 40-psi (2.7 bars) air pressure and measure drop, which shall not exceed 1-1f2 psi (0.1 ba ) in 24 hours. Test ranks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1-1f2 psi (0.1 bars) in 24 hours. TEST DESCRIPTION TESTS ALL PIPING HYDROSTATICALLY. TESTED AT aa.-~SI (_Bar) for . HRS. DRY PIPING PNEUMATICALLY TESTED g:rVES 0 NO EQUIPMENT OPERATES PROPERLY GYVES 0 NO DO YOU CERTIFY AS THE SPRINKLER CO CTOR THAT ADDITIVES AND CORROSIVE C SILICATE OR DERIVATIVES OR SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMIC F TESTING SYSTEMS OR STOPPING LEAKS? YES 0 NO DRAIN READING OF GAUGE LOCATED NEAR WATER' TEST SUPPLY TEST CONNECTION:1:2:::(: PSI ( Bar) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COpy OF THE CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR UNDERGROUND PIPING. 0 YES ~ FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING 0 YES~O IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? DYES ,zoo NUMBER USED LOCATIONS I NO, STATE REASON WITH VALVE IN TEST IDE:Lf> ~ PSI LBar) EXPLAIN hI BLANK TESTING GASKETS YES 0 NO IFYES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? ONO WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE'INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? ONO DNO CUTOUTS (DISCS) HYDRAULIC DATA NAMEPLATE REMARKS , DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? NAME PLATE PROVIDED "YES 0 NO ONO SIGNATURES 3 _'M"! AHERN FIRE PROTECTION ~1AR 2 9 2001 Contractor's Material and Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's repres ntative. All defects shall be corrected and system left in seNice before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and ontractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failurE to comply with approving authoritv's reauirements or local ordinances. PROPERTY NAME Baldor Electric AFP Contract #: 490501 T DA T: November 28, 2006 PROPERTY ADDRESS 3815 Oreqon Street Oshkosh, VII 54902 Plans ACCEPTED BY APPROVING AUTHORITIES (NAMES) 1. Factory Mutual Global (Mr. Kim McCluskey P. E.) 2. Oshkosh Fire Department (Battalion Chief -- Stu Schrottky) 3. City of Oshkosh (Building Inspector -- Brian Noe) 4. ADDRESS 1. W184 N8311 Tours Drive -- Menomonee Falls, WI 53051 2. 101 Court Street -- Oshkosh, WI 54901 3. 215 Church Avenue -- PO Box 1130 -- Oshkosh, WI 54901 4. INSTALLATION CONFORMS TO ACCEPTED PLANS EQUIPMENT USED IS APPROVED IF NO, EXPLAIN DEVIATIONS , AYEsS 0 NO ~ ONO . INSTRUCTIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN . ~ ONO LOCATION OF SYSTEM HAVE COPIES OFTHE FOLLOWING BEEN LEFT ON THE PREMISES: 1. SYSTEM COMPONENTS INSTRUCTION 2. CARE AND MAINTENANCE INSTRUCTIONS 3. NFPA 25 SUPPLIES BUILDINGS System #4 DYES ...05'No DYES j;2pNo DYES l;d..Ne- Item No.'s 2 & 3 will be forwarded by AFP at closeout time. MAKE MODEL YEAR OF K- o JANTITY TEMPERATURE MANUFACTURE FACTOR RATING Vikina ESFR VK500 Pendent 3/4" Bronze 2006 14.0 210 165 Dec. Viking Micromatic M VK200 Upright 3/4" Bronze 2006 8.0 220 286 Deg. Vikinc Microfast M OR VK302 Pendent 1/2" Chrome 2006 5.6 15 155 Dea. SPRINKLERS \ ,;. '~;~l+il~~~" FLOW ALARM DEVICE TYPE Water Flow Detector N/A EXPLAIN ANY ALARM PROBLEMS: MAKE System Sensor MODEL WFD ALARM DEVICES TYPE N/A LOW AIR ALARM DEVICE I MAKE I MODEL PRESSURE . SETTING F SI ALARM OPERATED PROPERLY YES I NO I . EXPLAIN ANY ALARM PROBLEMS: . . . Ahern Fire Protection CENTRAL MONITORING SIGNALS REC IVED , LOCATION(S) ALARM SERVICE TYPE OR PRESSURE NAME OF REMOTE WATERFLOW SWITCH LOW-AIR OTHER SERVICE DETECTOR FLOW S PERVISORY SUPERVISING LOCATION(S): STATION (ON-SITE) v< PrD'f REMOTE REMOTE NAME OF SERVICE: MONITORING ALARM SERVICE SIGNALING (OFF-SITE) PHONE: OTHER: LOCATION(S): EXPLAIN ANY ALARM SIGNALING PROBLEMS: , DRY VALVE O.O.D , MAKE MODEL SERIAL NO. MAKE MODE SERIAL NO. TIME TO TRIP WATER TRIP POINT AIR TIME v.. Il.TER ALARM THROUGH TEST PRESSURE AIR PRESSURE PRESSURE REACHE ) TEST OPERATED CONNECTION'.2 ---e1:l'f1 T0 PROPERLY DRY PIPE MIN. SEC. PSI PSI F'SJ-- MIN. SEC. YES NO OPERATING WITHOUT l--' TEST Q.O.o. , ------ WITH ---- Q.O,D. ]FNO'~~ OPERATION: o PNEUMATIC 0 ELECTRIC o HYDRAULIC PIPING SUPERVISED DYES DNO DETECTING MEDIA SUPERVISED DYES DNO DOES VALVE OPERATE FROM THE MANUAL TRIP, REMOTE, OR BOTH CONTROL STATION DYES DNO ------'" IS THERE AN ACCESSIBLE FACILITY IN EACH ~~~ DELUGE & CIRCUIT FOR TESTING .~_ PREACTION DYES 0 NO VALVES ~EACH CIRCUIT DOES EACH CIRCUIT MAXIMUM TIME TO MODE~ PERATE SUPERVISION OPERATE VALVE RELEASE OPERATE RELEASE MAKE' LOSS ALARM YES NO YES NO MIN. SEC. . LOCATION & MAKE & MODEL. SETTING STATIC PRE<::<::IIRJ: RESIDUAL F RESSURE FLOW RATE PRESSURE FLOOR - (FLO\ ING) REDUCING ------ INLET OUTLET 'INLET OUTLET FLOW VALVE TEST (PSI) (PSI) (PSI) (PSI) (GPM) .~ 1 MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED. 2 NFPA 13 ONLY REQUIRES THE 60-SECOND LIMITATION IN SPECIFIC SECTIONS. 2 . TEST DESCRIPTION TESTS BLANK TESTING GASKETS WELDING CUTOUTS (DISCS) HYDRAULIC DATA NAMEPLATE REMARKS Ahern Fire Protection HYDROSTAJ:Je: Hydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 ars) above static pressure in excess of 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to p vent damage. All aboveground piping leakage shall be stopped. PNEUMATIC: Establish40-psi (2.7 bars) air pressure and measure drop, which shall not exceed 1-1/2 psi (0.1 b rs) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1-1/ psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT d..:Z5PSI L..-Bar) for ~ HRS. DRY PIPING PNEUMATICALLY TESTED 0 YES ~O EQUIPMENT OPERATES PROPERLY t:tY'ES 0 NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE C SILICATE OR DERIVATIVES OR SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMIC FOR TESTING SYSTEMS OR STOPPING LEAKS? ES 0 NO DRAIN READING OF GAUGE LOCATED NEAR WATER RESIDUAL PRESSUR WITI-j VALVE IN TEST TEST SUPPLY TEST CONNECTION:~ PSI ( Bar) CONNECTION OPEN IDE(& 6 PSI LBar) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER EXPLAIN FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR UNDERGROUND PIPING. 0 YES %wo FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING 0 YESJ::LNO IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED?~. glYES ~r NO NUMBE~SED WELDED PIPING LOCATIONS YES 0 NO IFYES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 82.1? DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 82.1? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL fH'ES CUTOUTS (DISCS) ARE RETRIEVED? NAME PLATE-PROVIDED YES 0 NO F NO, STATE REASON f.-; /-\- EMICALS, SODIUM LS WERE NOT USED ONO ONO ONO ONO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: NAME OF SPRINKLER CONTRACTOR AHERN FIRE PROTECTION, 201 MORRIS COURT - FOND DU LAC, WI 54935 TESTS WITNESSED BY ION (SIGNED) TITLE ~ O~~ a~ k- + SIGNATURES 3 7. -07 DATE 5-)2 u7 DATE 3~ 22-D? DATE 3- 23 ()7 .; AHERN FIRE PROTECTION M AR 2 9 2007 - Contractor's Material and Test Certificate for Aboveground :)iping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's repres ntative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and c ontractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authoritv's requirements or local ordinances. PROPERTY NAME Baldor Electric AFP Contract #: 490501 I DATE: November 28, 2006 PROPERTY ADDRESS 3815 OreQon Street Oshkosh, VI. I 54902 ACCEPTED BY APPROVING AUTHORITIES (NAMES) 1. Factory Mutual Global (Mr. Kim McCluskey P. E.) 2. Oshkosh Fire Department (Battalion Chief -- Stu Schrottky) 3. City of Oshkosh (Building ,Inspector -- Brian Noe) 4. ADDRESS Plans 1. W184 N8311 Tours Drive -- Menomonee Falls, WI 53051 2. 101 Court Street -- Oshkosh, WI 54901 3. 215 Church Avenue -- PO Box 1130 -- Oshkosh, WI 54901 4. INSTALLATION CONFORMS TO ACCEPTED PLANS rB YES ONO EQUIPMENT USED IS APPROVED yrvES ONO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION rES ONO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? INSTRUCTIONS IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: o YES ~O Item No.'s 2 & 3 will 1. SYSTEM COMPONENTS INSTRUCTION be forwarded by AFP at closeout time. 2. CARE AND MAINTENANCE INSTRUCTIONS o YES NO 3. NFPA 25 o YES..E'!' NO LOCATION OF SUPPLIES BUILDINGS -- SYSTEM System #3 MAKE MODEL YEAR OF K- Q ANTITY TEMPERATURE MANUFACTURE FACTOR RATING Vikinq ESFR VK500 Pendent 3/4" Bronze 2006 14.0 434 165 Dec. SPRINKLERS PIPE AND TYPE OF PIPE Liahtwall Non-Threadable' Thinwall Threadable FITTINGS TYPE OF FITTINGS Grooved' Threaded' Welded Outlets' Mechanical Tees FLOW ALARM DEVICE MAXIMU VI,TIME TO OPERATE THROUG '-TEST CONNECTION TYPE MAKE MODEL MIN. SEC. Water Flow Detector System Sensor WFD , J-/(!) N/A EXPLAIN ANY ALARM PROBLEMS: ALARM DEVICES LOW AIR ALARM DEVICE ALARM OPERATED TYPE I ...Mj.\KE MODEL PRJ:SSURf PRO PERL Y N/A SJ:TTING P I YcfJ..... L. NO ~ "".,-, I gl"'LAIN JlNY JlLA~M ,""~O!!lLEl\jl:~: "<--. Ahern Fire Protection CENTRAL MONITORING " LOCATION(S) SIGNALS REC IVED ALARM SERVICE TYPE OR PRESSURE NAME OF REMOTE WATERFLOW SWITCH LOW-AIR OTHER SERVICE DETECTOR FLOW S JPERVISORY - SUPERVISING LOCA TION(S): STATION X (ON-SITE) (+0'7 REMOTE REMOTE NAME OF SERVICE: MONITORING ALARM SERVICE SIGNALING (OFF-SITE) PHONE: OTHER: LOCATION(S): , EXPLAIN ANY ALARM SIGNALING PROBLEMS: DRY VALVE Q.O.D. MAKE MODEl SERIAL NO. MAKE MODE SERIAL NO. TIME TO TRIP WATER TRIP POINT AIR TIMEJDI "TER ALARM THROUGH TEST AIR PRESSURE ~CHE TEST OPERATED CONNECTION'.2 PRESSURE PR OUTL T,.2 PROPERLY DRY PIPE MIN. SEC. PSI 2&1- PSI MIN. SEC. YES NO OPERATING WITHOUT ~ TEST 0.0.0. WITH ---- ~ 0.0.0. ~~ OPERATION: o PNEUMATIC o ELECTRIC o HYDRAULIC PIPING SUPERVISED DYES DNO DETECTING MEDIA SUPERVISE) DYES DNO DOES VALVE OPERATE FROM THE MANUAL TRIP, REMOTE, OR BOTH CONTROL STATION~ DYES DNO -' IS THERE AN ACCESSIBLE FACILITY IN EACH IF NO, EXe.J..AlN.. DELUGE & CIRCUIT FOR TESTING ~ ~ PREACTION DYES 0 NO VALVES ~ ~ DOES EACH CIRCUIT DOES EACH CIRCUIT MAXIMUM TIME TO OPERATE SUPERVISION OPERATE VALVE RELEASE OPERATE RELEASE M~ LOSS ALARM YES NO YES NO MIN. SEC. LOCATION & -- RESIDUAL P ~ESSURE FLOOR MAKE & MODEL SETTING ~I"'KESSURE (FLOW NG) FLOW RATE PRESSURE I.---- INLET OUTLET .INLET OUTLET FLOW REDUCING ---- (PSI) (PSI) (PSI) " (PSI) (GPM) VALVE TEST -;;;;;:;:1'"' 1 MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED. 2 NFPA 13 ONLY REOUIRES THE 60-SECONOLlMITATION IN SPECIFIC SECTIONS. 2 i -----~~---- TEST DESCRIPTION TESTS BLANK TESTING GASKETS WELDING CUTOUTS (DISCS) HYDRAULIC DATA NAMEPLATE REMARKS Ahern Fire Protection HYDROSTATIC: H \ostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 ars) above static pressure in excess of . 10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to pr vent damage. All aboveground piping leakage shall be stopped. PNEUMATIC: Establish 40-psi (2.7 bars) air pressure and measure drop, which shall not exceed 1-1/2 psi (0.1 ba s) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1-1/ psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT ...2.Z2PSI <-Bar) for --Z..- HRS. DRY PIPING PNEUMA TICALL Y TESTED 0 YES ~O EQUIPMENT OPERATES PROPERLY ES 0 NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE C SILICATE OR DERIVATIVES OR SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMIC FO TESTING SYSTEMS OR STOPPING LEAKS? YES 0 NO "DRAIN READING OF GAUGE LOCATE[) NEAR WATER RESIDUAL PRESSUR WITH VALVE IN TEST TEST SUPPLY TEST CONNECTION:m PSI ( Bar) CONNECTION OPEN IDE: ~ PSI LBar) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER EXPLAIN FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COpy OF THE CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR UNDERGROUND PIPING. FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING o YES ~O DYES IDO I NO, STATE REASON /0/J-. EMICALS, SODIUM LS WERE NOT USED by ONO ONO ONO YES ONO IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED?....-- . 0 YE&-[J NO NUMBER USED LOCATIONS IF NO, XPLAIN SIGNATURES YES 0 NO . IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? NAME PLA~ROVIDED ~YES ONO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: NAME OF SPRINKLER CONTRACTOR AHERN FIRE PROTECTION, 201 MORRIS COURT -- FOND DU LAC, WI 54935 TESTS WITNESSED BY ~sl!;!!d;:tSs;.V G JURI DICTION (SIGNE~ ~E d F~. RTY WN (SI NED) flTLE -0 ~ jVl FOR SPRI IT 3 e) FLJ 67 AHERN FIRE PROTECTION ~AR 2 9 2001 Contractor's Material and Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's represer tative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives, Copies shall be prepared for approving authorities, owners, and co tractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure t comply with approving authoritv's reouirements or local ordinances. PROPERTY NAME Baldor Electric AFP Contract #: 490501 I DATE: December 6, 2006 PROPERTY ADDRESS 3815 OreQol1 Street Oshkosh, WI 54902 ACCEPTED BY APPROVING AUTHORITIES (NAMES) 1. Factory Mutual Global (Mr. Kim McCluskeyP. E.) 2. Oshkosh Fire Department (Battalion Chief -- Stu Schrottky) 3. City of Oshkosh (Building Inspector -- Brian Noe) 4. ADDRESS 1. W184 N8311 Tours Drive-- Menomonee Falls, WI 53051 2. 101 Court Street -- Oshkosh, WI 54901 3. 215 Church Avenue - PO Box 1130 -- Oshkosh, WI 54901 4. INSTALLATION CONFORMS TO ACCEPTED PLANS EQUIP!\IlENT USED IS APPROVED IF NO, EXPLAIN DEVIATIONS Plans -" g:J YES D NO rES D NO HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? INSTRUCTIONS IF NO, EXPLAIN ~ YES D NO LOCATION OF SYSTEM HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: 1. SYSTEM COMPONENTS INSTRUCTION 2. CARE AND MAINTENANCE INSTRUCTIONS 3. NFPA 25 SUPPLIES BUILDINGS System #2 - Canopy MAKE . Vikinc Micromatic M VK200 MODEL YEAR OF MANUFACTURE 2006 DYES GJ-'NO DYES 1211\(0 DYES B"N'0 K- Q' ANTITY TEMPERATURE FACTOR RATING 8.0 200 286 Dec. Item No.'s 2 & 3 will be forwarded by AFP at closeout time. Uoricht 3/4" Brass . SPRINKLERS PIPE AND FITTINGS TYPE OF PIPE IDOD' Schedule 10' Galvanized TYPE OF FITTINGS Grooved' Threaded' Welded Outlets TYPE Pressure Switch N/A EXPLAIN ANY ALARM PROBLEMS: MAKE Potter MODEL PS10A MAXIML M TIME TO OPERATE THROUC H =rEST CONNECTION MIN. SEC. 3S FLOW ALARM DEVICE ALARM DEVICES . . TYPE Pressure Switch LOW AIR ALARM DEVICE I MAKE Potter MODEL PS40A PRESSURE SETTING F SI ALARM OPERATED PROPERLY YES I NO ><:1 EXPLAIN ANY ALARM PROBLEMS: . I , Ahern Fire Protection CENTRAL MONITORING SIGNALS RECEI ED ALARM SERVICE LOCA TION(S) TYPE OR PRESSURE NAME OF REMOTE WATERFLOW SWITCH OW-AIR OTHER SERVICE DETECTOR FLOW SU ERVISORY SUPERVISING LOCATION(S): STATION / (ON~SITE) AOY ;X ) '\ REMOTE REMOTE NAME OF SERVICE: MONITORING ALARM SERVICE SIGNALING (OFF-SITE) PHONE: OTHER: LOCATION(S): EXPLAIN ANY ALARM SIGNALING PROBLEMS: DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. \Id,/ /\!(!- F, I WDodq I q 2~ TIME TO TRIP WATER TRIP POINT AIR TIME WA ER ALARM THROUGH TEST AIR ~RESSURE REACHED TEST OPERATED CONNECTION'~ PRESSURE PRESSURE OUTLE 1.2 PROPERLY, DRY PIPE MIN. SEC. PSI PSI PSI MIN. SEC. YES NO OPERATING WITHOUT 8~ /(PO L/t\ ""X) 35 vZ TEST Q.O.D. WITH Q.O.D. IF NO, EXPLAIN: OPERATION: o PNEUMATIC o ELECTRIC o HYDRAULIC PIPING SUPERVISED DYES DNO I DETECTING MEDIA SUPERVISE ---rrVES DNO DOES VALVE OPERATE FROM THE MANUAL TRIP, REMOTE, OR BOTH CO~ONS DYES DNO IS THERE AN ACCESSIBLE FACILITY IN EACH ~ DELUGE & CIRCUIT FOR TESTING PREACTION DYES DNO ~ VALVES ~CIRCUIT DOES EACH CIRCUIT MAXIMUM TIME TO OF' E SUPERVISION OPERATE VALVE RELEASE OPERATE RELEASE MAKE MODEL LOSS ALARM ~ YES NO YES NO MIN. SEC. // - " LOCATION & MAKE & MODEL SETTING STATIC PRESSURE RESIDUAL P ESSURE FLOW RATE FLOOR iF' PRESSURE INLET INLET OUTLET FLOW REDUCING --(PSI) VALVE TEST ~ (PSI) . (PSI) (GPM) ~ - -~ 1 MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED. 2 NFPA 13 ONLY REQUIRES THE eO-SECOND LIMITATION IN SPECIFIC SECTIONS. 2 . "". Ahern Fire Protection TEST DESCRIPTION HYDR STATIC: ydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3. bars) above static pressure in excess of si (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to revent damage. All round piping leakage shall be stopped. PNEUMATIC. Establish 40-psi (2.7 bars) air pressure and measure drop, which shall not exceed 1-1/2 psi (0.1 ars) in 24 hours. Test pressure ta at normal water level and air pressure and measure air pressure drop, which shall not exceed 1- /2 psi (0.1 bars) in 24 hours. IF NO, STATE REASON TESTS ALL PIPING HYDROSTATICALLY TESTED AT ' ~ PSI L-Bar) for _ HRS. DRY PIPING PNEUMATICALLY TESTED S 0 NO EQUIPMENT OPERATES PROPERLY YES 0 NO DO YOU CERTIFY AS THE SPRINKLER CON"'PRACTOR THAT ADDITIVES AND CORROSIVE SILICATE OR DERIVATIVES OR SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMI F. R TESTING SYSTEMS OR STOPPING LEAKS? S ONO DRAIN READING OF GAUGE LOCATEIjl.llfiA:R WATER TEST SUPPLY TEST CONNECTION:-t-L'L PSI ( Bar) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. HEMICALS, SODIUM ALS WERE NOT USED DYES ,Q-1'Ib OYES~ E WITH VALVE IN TEST WIDE/l.21:.l. PSI LBar) OTH R EXPLAIN VERIFIED BY COPY OF THE CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR UNDERGROUND PIPING. FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING ~ 7 IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? o YEs-E:!'""NO BLANK TESTING GASKETS LOCATIONS IF YES... WELDING DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 82.1? DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? ONO ONO ONO CUTOUTS (DISCS) HYDRAULIC DATA NAMEPLATE REMARKS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? NAME PLATE,PROVIDED YES 0 NO DNO SIGNATURES {j F,(J t ~\,+ a7 3 AHERN FIRE PROTECTION IMI ~~ 2 9 20~1 Contractor's Material and Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's repre entative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failur to comply with approving authority's requirements or local ordinances. PROPERTY NAME Baldor Electric AFP Contract #: 490501 I DA1E: November 28, 2006 PROPERTY ADDRESS 3815 Oreqon Street . Oshkosh,\! ~I 54902 ACCEPTED BY APPROVING AUTHORITIES (NAMES) 1. Factory Mutual Global (Mr. Kim McCluskey P. E.) 2. Oshkosh Fire Department (Battalion Chief -- Stu Schrottky) 3. City of Oshkosh (Building Inspector -- Brian Noe) 4. ADDRESS Plans 1. W184 N8311 Tours Drive -- Menomonee Falls, WI 53051 2. 101 Court Street -- Oshkosh, WI. 54901 3. 215 Church Avenue -- PO Box 1130 -- Oshkosh, WI 54901 4. .. INSTALLATION CONFORMS TO ACCEPTED PLANS ~~S ONO EQUIPMENT USED IS APPROVED I YES ONO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION pYES ONO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? INSTRUCTIONS IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: Item No.'s 2 & 3 will 1. SYSTEM COMPONENTS INSTRUCTION o YES ~7~O be forwarded by AFP at closeout time. 2. CARE AND MAINTENANCE INSTRUCTIONS o YES :{::~ 3. NFPA 25 DYES () 0 LOCATION OF SUPPLIES BUILDINGS SYSTEM System #5 MAKE MODEL YEAR OF K- ( UANTITY TEMPERATURE MANUFACTURE FACTOR RATING Viking Micromatic M VK200 Upright 3/4" Bronze 2006 8.0 290 286 Deg. Viking Microfast M QR VK302 Pendent 1/2" Chrome 2006 5.6 4 155 Deg. Vikina Micromatic M VK1 04 Horizontal Sidewall 1/2" Brz. 2006 5.6 5 286 Deg. SPRINKLERS PIPE AND TYPE OF PIPE Liahtwall Non-Threadable' Thinwall Threadable FITTINGS TYPE OF FITTINGS Grooved' Threaded' Welded Outlets' Mechanical Tees FLOW ALARM DEVICE MAXIM JM TIME TO OPERATE THROU 3H'TEST CONNECTION TYPE MAKE MODEL MIN, SEC. Water Flow Detector System Sensor WFD - 'hi N/A EXPLAIN ANY ALARM PROBLEMS: ALARM DEVICES LOW AIR ALARM DEVICE PRESSUI E ALARM OPERATED TYPE MAKE MODEL PROPERLY SETTING SI I N/A YES NO I EXPLAIN ANY ALARM PROBLEMS: . . ------.--- Ahern Fire Protection CENTRAL MONITORING SIGNALS RECE IVED ALARM SERVICE LOCA TION(S) " TYPE OR PRESSURE NAME OF REMOTE WATERFLOW SWITCH LOW-AIR OTHER SERVICE DETECTOR FLOW S PERVISORY SUPERVISING LOCATION(S): STATION 'A (ON-SITE) ,t}O-r- REMOTE REMOTE NAME OF SERVICE: MONITORING ALARM SERVICE SIGNALING (OFF-SITE) PHONE: OTHER: LOCATION(S): EXPLAIN ANY ALARM SIGNALING PROBLEMS: " DRY VALVE O.O.C. MAKE MODEL SERIAL NO. MAKE MODE SERIAL NO. TIME TO TRIP WATER TRIP POINT AIR TIME V ATfR.... ALARM THROUGH TEST PRESSURE AIR PRESSURE PRESSUR~ R TEST OPERATED CONNECTION". .......... OUT T 1.. PROPERLY DRY PIPE MIN. SEC. PSI PSI - SI MIN. SEC. YES NO OPERATING WITHOUT ---- TEST Q.O.D. - WITH ~ Q.O.D. - - ~ OPERATION: o PNEUMATIC o ELECTRIC o HYDRAULIC PIPING SUPERVISED DYES DNO DETECTING MEDIA SUP DYES DNO -,- -- DOES VALVE OPERATE FROM THE MANUAL TRIP, REMO~ I IJONTROL STATIOI' S DYES DNO IS THERE AN ACCESSIBLE FACILITY ~ IF NO, EXPLAIN DELUGE & CIRCUIT FOR TESTING PREACTION ~-DNO VALVES V-- DOES EACH CIRCUIT . DOES EACH CIRCUIT MAXIMUM TIME TO ~ OPERATE SUPERVISION MODEL LOSS ALARM OPERATE VALVE RELEASE PPERATE RELEASE ~ YES NO YES NO MIN. SEC. . '. LOCATION & MAKE & MODEL. SEI -s"fAiiCPRESSURE RESIDUAL PRESSURE FLOW RATE PRESSURE FLOOR (FLO 'ING) REDUCING ~ INLET OUTLET . INLET OUTLET FLOW --- (PSI) (PSI) (PSI) .. (PSI) (GPM) VALVE TEST - ." .- , MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED. · NFPA 13 ONLY REQUIRES THE 60-SECOND liMITATION IN SPECIFIC SECTIONS. 2 "" , '->. YDROSTA TI . Hydrostatic tests shall,be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 ars) above static pressure in excess psi (10.2 bars) for two hours, Differential dry-pipe valve clappers shall be left open during test to pr vent damage. All oveground piping leakage shall be stopped, PNEUMATIC: Establish 40-psi (2.7 bars) air pressure and measure drop, which shall not exceed 1-1/2 psi (0.1 b rs) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1-1/ psi (0,1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT - DRY PIPING PNEUMATICALLY TESTED EQUIPMENT OPERATES PROPERLY S 0 NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE C SILICATE OR DERIVATIVES OR SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMIC F R TESTING SYSTEMS OR STOPPING LEAKS? ~ES 0 NO DRAIN READING OF GAUGE LOCATED NEAR WATER TEST SUPPLY TEST CONNECTION:ili PSI ( Bar) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. Ahern Fire Protection TEST DESCRIPTION TESTS VERIFIED BY COpy OF THE CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR UNDERGROUND PIPING. . 0 YES ~O FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING 0 YES~O IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? o YE~O BLANK TESTING GASKETS NUMBEB USED LOCATIONS WELDED PIPING 0 NO . IFYES... WELDING DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIReMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? CUTOUTS (DISCS) HYDRAULIC DATA NAMEPLATE REMARKS DO YOU CERTIFY THAT YOU HAVE 'A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? NAME PLATE PROVIDED ~ES 0 NO SIGNATURES of/J 3 !V()- EMICALS, SODIUM LS WERE NOT USED WITfi VALVE IN TEST IDEJ&6 PSI LBar) EXPLAIN ONO ONO ONO ~ S DNO IF N ,EXPLAIN "3 z..3~O _ DATE 3-'L'G-07 , DATE 5-2- 2. -(} ') DATE 3- 23- 07 AHERN FIRE PROTECTION UAR 2 9 2001 . .. Contractor's Material and Test Certificate for Aboveground Piping '. . PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's repre s ntative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. . A pertificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and ontractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty,material, poor workmanship, or failure to comply with approving authority's reauirements or local ordinances. PROPERTY NAME Baldor Electric AFP Contract #: 490501 I DAT : November 28, 2006 PROPERTY ADDRESS 3815 OreQon Street Oshkosh, \f1 I 54902 ACCEPTED BY APPROVING AUTHORITIES (NAMES) 1. Factory Mutual Global (Mr. Kim McCluskey p, E.) 2. Oshkosh Fire Department (Battalion Chief -- Stu Schrottky) 3. . City of Oshkosh (Building Inspector -- Brian Noe) 4. ADDRESS Plans 1. W184 N8311 Tours Drive -- Menomonee Falls, WI 53051 2. 101 Court Street -- Oshkosh; WI 54$01 3, 215 Church Avenue -- PO Box 1130 -- Oshkosh, WI 54901 4. INSTALLATION CONFORMS TO ACCEPTED PLANS ..--ErYES DNO EQUIPMENT USED IS APPROVED ,Z?ES DNO IF NO, EXPLAIN DEVIATIONS - HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION 1"0 YES DNO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? INSTRUCTIONS IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: Item No.'s 2 & 3 will t. SYSTEM COMPONENTS INSTRUCTION DYES E1'fo be forwarded by AFP at closeout time. 2. CARE AND MAINTENANCE INSTRUCTIONS DYES ~ 3. NFPA 25 DYES 0 LOCATION OF SUPPLIES BUILDINGS SYSTEM Fire Pump . MAKE MODEL YEAR OF K- ( UANTITY TEMPERATURE MANUFACTURE FACTOR RATING N/A SPRINKLERS PIPE AND TYPE OF PIPE Liahtwall Non-Threadable' Thinwall Threadable' Schedule 10 FITTINGS TYPE OF FITTINGS Flanned' Grooved' Threaded' Welded Outlets' Mechanical Te s FLOW ALARM DEVICE MAXIM JM TIME TO OPERATE THROU 3HTEST CONNECTION TYPE MAKE MODEL MIN. SEC. N/A ." N/A EXPLAIN ANY ALARM PROBLEMS: . ALARM DEVICES LOW AIR ALARM DEVICE . ALARM OPERATED TYPE MAKE MODEL PRESSU E PROPERLY SETTING )SI . N/A I YES I NO I. EXPLAIN ANY ALARM PROBLEMS: i REMOTE ALARM SIGNALING DRY PIPE OPERATING TEST DELUGE & PREACTION VALVES '.. PRESSURE REDUCING VALVE TEST ALARM SERVICE TYPE Ahern Fire Protection CENTRAL MONITORING LOCATION(S) OR NAME OF REMOTE WATERFLOW SERVICE DETECTOR LOCATION(S): LOW-AIR SUPERVISORY SIGNALS RECEIVED PRESSURE SWITCH FLOW SUPERVISING STATION (ON-SITE) 4D1 NAME 01= SERVICE: REMOTE MONITORING SERVICE (OFF-SITE) OTHER: PHONE: LOCATION(S): EXPLAIN ANY ALARM SIGNALING PROBLEMS: MAKE DRY VALVE MODEL MAKE a.o.). MOD L SERIAL NO. TIME TO TRIP THROUGH TEST CONNECTION,,2 AIR PRESSURE TRIP POINT AIR PRESSURE P.BJ....-- TIME I\IATER REACH D TEST _'O{Jr ET 1,2 MIN. SEC. I WATER PRESSURE MIN. SEC. PSI PSI WITHOUT Q.O.D. WITH Q.O.D. IFNO~ OPERATION: 0 PNEUMATIC --- -- ---- o ELECTRIC o HYDRAULIC PIPING SUPERVISED 0 YES 0 NO DETECTING MEDIA SUPERVIS 0 DOES VALVE OPERATE FROM THE MANUAL TRIP, REMOTE, OR BOTH CONTROL STATIOt-,S IS THERE AN ACCESSIBLE FACILITY IN EACH IF NO. EXPLAIN CIRCUIT FOR TESTING I ~ o YE;S.. 0 NO ,"oN.l..--~"'-- . . QeEa~-elMUiT DOES EACH CIRCUIT ~TE SUPERVISION OPERATE VALVE RELEASE MAKE ~ LOSS ALARM "....... YES. NO - -" OTHER. ylA""rn& 1\ (~ '7u1'" 0' ~S\0' I SERIAL NO. ALARM OPERATED PROPERL Y YES NO DYES 0 NO DYES 0 NO MAXIMUM TIME TO OPERATE RELEASE YES NO MIN. LOCATION & FLOOR MAKE & MODEL SETTI~ l-s1*TrcPRESSURE ___~ INLET OUTLET (PSI) (PSI) RESIDUAL RESSURE (FLO\ ING) . INLET OUTLET (PSI) (PSI) 1--- 1 MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED. 2 NFPA 13 ONLY REQUIRES THE 60.SECOND LIMITATION IN SPECIFIC SECTIONS, 2 : SEC. FLOW RATE FLOW (GPM) .... . Ahern Fire Protection HYDROSTATIC:,-Aydrostatictests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3. bars) above static pressure in excess psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to revent damage. All oveground piping leakage shall be stopped. PNEUMATIC: Establish 40-psi (2.7 bars) air pressure and measure drop, which shall not exceed 1-1/2 psi (0.1 ars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1- /2 psi (0.1 bars) in 24 hours. TEST DESCRIPTION ALL PIPING HYDROSTA TICALL Y TESTED AT ~ PSI <-Bar) for --2- HRS. DRY PIPING PNEUMA TICALL Y TESTED VO Y'ES ~O EQUIPMENT OPERATES PROPERLY ~S 0 NO I DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE SILICATE OR DERIVATIVES OR SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMI FOR ESTING SYSTEMS OR STOPPING LEAKS? YES 0 NO DRAIN READING OF GAUGE LOCATED NEAR WATER TEST SUPPLY TEST CONNECTION:11Y PSI ( Bar) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR UNDERGROUND PIPING. 0 YES fa1\f0 FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING 0 YES ~ IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPL.t:TED?~ o YESp NO IF NO, STATE REASON /lfi4- HEMICALS, SODIUM ALS WERE NOT USED E WITH VALVE IN TEST WIDE: J..ti;D... PSI LBar) R EXPLAIN TESTS by -t'r"', BLANK TESTING GASKETS NUMBER USED LOCATIONS o WELDED PIPING YES 0 NO IF YES... pYS ONO ,PtY S DNO ~S DNO , DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? WELDING CUTOUTS (DISCS) HYDRAULIC DATA NAMEPLATE REMARKS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? NAME PLA1-E PROVIDED ( 0 YES 0 NO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: NAME OF SPRINKLER CONTRACTOR AHERN FIRE PROTECTION, 201 MORRIS COURT -- FOND DU LAC, WI 54935 TESTS WITNESSED BY VIN'URIS~ICTION (SIGNED) TITLE . If'- V ~M ~ 4. ~&i.t~-f- WNER (SIGNEO) TIT!. ONO . DATE '3 - 2'2 -0'1-. DATE 3